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C NON-HAZE "IOUs WASTE MANIFEST <br /> ,,FW n WARD' � WASTE TREATMENT AND DISPOSAL FACILITY <br /> AWE <br /> - JCB ACCEPTANCE NO. ry cM"`=� =;12 FMS <br /> *r, i <br /> 4,7 <br /> GENERATOR,_ _ REQUIRED PERS PROTECTIVE ECICIIPMEb <br /> THRIFTY _OIL COMPANY _ OGLOVES QGOGGLES ORESPIRATOR ❑HARD HAT <br /> MAILING ADE3RESS ,r�� -h - 'x ❑TY VEK []OTHER <br /> 100000 AktWOOD BLVD. <br /> —�_w_._ -- -•-F---�--« SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP -— -_7_ t <br /> _ m - <br /> _ DOWNEY,CA sa� oa <br /> PHONE_ -� <br /> 310-923-9876-_ - - <br /> CONTACT PER50N __ <br /> PETER D' AMICO _ /_ <br /> SIGWURE OF AUTHORIZED AGENT TITLE D_ATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • [] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL 209)•982- 1009 FAX <br /> 1250 M. WILSON WAY <br /> STOCKTON , CA <br /> NAME --4 _� - - r _ - ' " ' NOTES TRUCK NUMBER <br /> RICH HAMIKTO14 TRUCKIGG <br /> ADDRESS _ <br /> 1336 PAULINE AVE . LOAD #26 <br /> CITY, STATE,ZJP <br /> MO€ ESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 ❑ 1:1 ❑ <br /> SIGNATURE OF AUT BRED ENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC, LANDFILL CUBIC YARDS f <br /> Forward shall have no obligation to accept the waste if weather or other d ';� t',s <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHO (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ _ <br /> waste for any reason If Forwards refusal to accept the waste is based onSOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS 4 - - � - - - - -- - <br /> - - - ❑ NON-FRIABLE <br /> FACIUASBESTOS_TY TICKET NUMBER - _ _ _ <br /> _ _ _ ❑ WOOD <br /> SldIWTI REO -W04rZED AGE�NT ___ 4 DATE__ <br /> - - -- ❑ ASH <br /> � E] OTHER <br /> SCHEDULING MUST BE MADE PRIOR40 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DRAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # e3-7656 <br /> TRANSPORTER COPY / <br />